| NPI | 1396224903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 35423) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-10-01 |